ABERDEEN CBOC (1950)    INSTITUTION (4)

Name Value
NAME ABERDEEN CBOC
STATE SOUTH DAKOTA
STREET ADDR. 1 3307 10TH AVE SE
CITY ABERDEEN
ZIP 57401-8027
OFFICIAL VA NAME ABERDEEN CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME ABERDEEN VA CLINIC
ST. ADDR. 1 (MAILING) 2301 8TH AVE NE, SUITE 225
CITY (MAILING) ABERDEEN
STATE (MAILING) SOUTH DAKOTA
ZIP (MAILING) 57401-3252
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1730139395
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 438GD
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1730139395
  • CODING SYSTEM:   VASTANUM
    ID:   438GD
  • CODING SYSTEM:   CLIA
    ID:   43D1077892